Individual
BENJAMIN HUTTON STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2067 W VISTA WAY STE 120, VISTA, CA 92083-6032
(760) 758-2020
(760) 758-1410
Mailing address
2067 W VISTA WAY STE 120, VISTA, CA 92083-6032
(760) 758-2020
(760) 758-1410
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
30737
OK
207W00000X
Ophthalmology Physician
Primary
A172672
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2014
Last updated
05/09/2023
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